Individual
RUSSELL WL VANDERLINDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1860 N CHURCH RD, LIBERTY, MO 64068-7179
(816) 415-2828
(816) 883-2993
Mailing address
PO BOX 226, EXCELSIOR SPRINGS, MO 64024-0226
(816) 520-1710
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013030774
MO
Other
Enumeration date
08/22/2013
Last updated
11/26/2019
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